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Stereotactic radiofrequency ventral posterolateral thalamotomy for cancer pain

Palliative neuroablative procedures are often performed for medication-refractory cancer pain. A 57-year-old female with lung carcinoma and metastases to the brachial plexus and cervical spine with severe neuropathic pain affecting the right upper limb was referred to the authors’ functional neurosu...

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Detalles Bibliográficos
Autores principales: Mostofi, Abteen, Rezaei Haddad, Ali, Bourlogiannis, Fotios, Pereira, Erlick A. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542380/
https://www.ncbi.nlm.nih.gov/pubmed/36285260
http://dx.doi.org/10.3171/2020.7.FOCVID2023
Descripción
Sumario:Palliative neuroablative procedures are often performed for medication-refractory cancer pain. A 57-year-old female with lung carcinoma and metastases to the brachial plexus and cervical spine with severe neuropathic pain affecting the right upper limb was referred to the authors’ functional neurosurgery service. This video shows her treatment with an awake stereotactic radiofrequency thalamotomy targeting the left ventral posterolateral nucleus. Postoperatively, she experienced immediate and complete resolution of the pain. Palliative radiofrequency thalamotomy can be a viable and effective procedure for somatotopically distributed regional cancer pain. The video can be found here: https://youtu.be/jykYWXTP3c4